Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASAD MEDEPALLI
ActiveDR. PRASAD MEDEPALLI is a Internal Medicine healthcare provider located in FAIRLAWN, New Jersey. NPI 1912941691 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FAIRLAWN, NJ
Registration Details
- NPI Number
- 1912941691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.177525588534 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30507 (NJ)
Practice Information
- Address
-
15-01 BROADWAY (SUITE)SUITE 38FAIRLAWN, NJ, 07410Browse NJ providers · Browse ZIP 07410
- Phone
- 2017919241
- Primary Specialty
-
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.